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Preparation for EGD (Upper Endoscopy)

Day prior to exam:

  1. May eat regular meals up to 6:00 pm

  2. After 6:00 pm, clear liquids only. For example, 7-Up, apple juice, tea, broth, Jell-o, cranberry juice, grape juice, coffee without milk or cream and water.

  3. We request that you avoid aspirin or aspirin containing products until after the procedure. If you take a blood thinner, please consult us on the directions for taking it.

  4. Do not eat or drink anything after midnight.

Day of exam:

  1. Do not eat or drink anything until after the procedure.

  2. Be sure to have someone along to drive you home after the procedure.

Please note that it is your responsibility to contact you insurance company before the procedure in order to receive pre-certification clearance. Thank you.

Please follow the link below to learn more about your procedure.
http://www.gastro.org/public/uppergi.html

One Day Preparation for Colonoscopy

One day prior to the Colonoscopy:

  1. Regular breakfast

  2. Clear liquid lunch

  3. At 3:00pm drink a bottle of Evac-Q-Quick as directed or take 1 oz of Castor oil

  4. At 5:00pm take the 10mg of Reglan

  5. At 5:30pm begin the Golytely and drink 1 quart per hour until gone

  6. You may continue with the clear liquids until midnight

On the day of the colonoscopy:

  1. You may take a small amount of water with your morning medicine but, do not eat or drink anything else!

  2. One or two hours before the colonoscopy, you will need to give yourself the Fleet's enema (which you can get at the drugstore without a prescription)

  3. If you notice that your bowel movements are not clear, please notify Dr. Greathouse at 833-4101.

We recommend that you have someone to drive you home after the procedure.

Please follow the link below to learn more about your procedure.
http://www.gastro.org/public/colonoscopy.html

MIRALAX COLONOSCOPY PREP INSTRUCTIONS

Please follow these instructions carefully or your procedure may be cancelled

Several days before the procedure – Stop taking bulk forming agents such as Metamucil, Citrucel, Konsyl, Colon Care capsules.
Our office and the PASS Nurses will advise you about when or if to stop blood-thinning medications.

$Purchase one 238 gram bottle over-the-counter Miralax or the generic brand.
$Purchase Gatorade 64 ounces or G2 if you are diabetic.
The office will provide you with four (4) tablets of Dulcolax/Biscodyl. It is also Over the Counter.

ONE DAY BEFORE THE PROCEDURE
Follow a clear liquid diet for the entire day.
These liquids are considered clear:
Broth/Bouillon
Coffee/Tea (sweetener is allowed, but no cream or milk)
Carbonated beverages (Coke, Pepsi, Sprite, Root Beer, etc)
Clear fruit juices (apple, grape, and Cranberry) No nectars, tomato, or prune juice.
Gatorade
Hard Candy
Jello (avoid red)

Afternoon before procedure
Please follow these procedures – they are different than the directions on the Miralax bottle). For your convenience, there are two times listed that you may choose to begin your prep. Choose one option below or decide your own time to begin the prep anytime before 5:00 PM.

OPTION 1
At 12:00 Noon take 4 Dulcolax tabs
At 12:00 PM begin drinking Miralax prep
Mixed with 64 ounces of Gatorade

OPTION 2
At 3:00 PM take 4 Dulcolax tabs
At 5:00 PM begin drinking Miralax
Mixed with 64 ounces of Gatorade

THIS WILL cause you to have diarrhea. Mix 238 gram bottle of Miralax in 64 oz Gatorade (not red). Shake solution until Miralax is dissolved.

Drink one 8-ounce glass of prep every 30 minutes until solution is gone. If you start feeling full or nauseated, wait 60 minutes before starting the prep again. (Usual prepping time is 4-6 hours).

It will be necessary to drink all of the prep to make sure your colon is clear. Your stool will be liquid and clear enough to see through.

OSMO PREP INSTRUCTIONS

http://www.tabletprep.com/osmoprep-colon-prep/prep-instructions.aspx

SUPREP INSTRUCTIONS

http://suprepkit.com/dose-instruction.htm

Golytely Prep Instructions

DAY PRIOR TO EXAM:

Have a normal breakfast
Have a clear liquid lunch
At 3:00 PM drink a 10 ounce bottle of Magnesium Citrate Oral Solution as directed or take one ounce Castor oil.
At 5:00 PM take 10 milligrams of Reglan
At 5:30 PM begin Golytely and drink one quart an hour until gone.
You may continue to with the clear liquids until midnight.

DAY OF EXAM:

One to two hours before the colonoscopy, you will need to give yourself the Fleet’s enema which you can get at the drugstore without a prescription.

Esophageal Manometry and 24 Hour pH Probe Testing

The tests listed below are those that your physician has requested for you at McDonough District Hospital. We will try to explain what will be expected of you and what you can expect during these tests.

  1. Please arrive at the hospital's admitting desk on time so that there is no delay in your procedure.

  2. You may eat normally until two hours before the exam. Then you are limited to liquids until the time of the exam.

  3. Please stop taking all stomach medications a week before the scheduled test. These include: Prevacid, Protonix, Aciphex, Nexium, Prilosec, Zantac, Tagamet, Axid, Reglan. If you have questions regarding these, please call our office (836-3387). It is important that these medications are out of your system to provide accurate results. You may take medications such as Carafate, Tums, Mylanta, Rolaids, etc., until midnight the day prior to the exam. Please take all of your other medications (for example: blood pressure pills) as directed.

Esophageal Manometry

A tube will be inserted through your nose and into your stomach. As the tube is slowly withdrawn it will take measurements of the muscles in your esophagus. This helps to determine if there is a problem pushing food down into your stomach resulting in food getting "stuck." To make this more comfortable, a medicated "numbing" spray is used. This part of the procedure takes about two hours and includes setting up the second half of the test described below.

24 Hour pH Probe

A very small tube will be inserted through your nose and into your esophagus then taped in place. The tube will be connected to a monitor in a small carrying case to determine if acid reflux is causing your problems. While this probe is in place, be sure that you don't take any stomach medicines, as this will void the test (and you will have to repeat it).

While the test is taking place, we encourage you to eat those foods, which would normally bother your stomach. After 24 hours of testing the tube will be removed which only takes a minute of your time. You can resume all of your stomach medications once the tube has been removed.

Please be sure to bring a list of your current medications and feel free to call the office if you have any questions (836-3387).

Examples of clear liquids include the following, which are not colored red or purple:

Water
Tea
Coffee without cream
Carbonated beverages
Clear juices (apple, lemonade, or white grape)
Chicken or beef broth/bullion
Plain Jello - liquid or set
Popsicles
Clear, hard candy

Solid foods, milk, or milk products are not allowed.

Please Note: As a reminder to you, the patient, it is your responsibility to please contact your insurance company before a procedure in order to receive pre-certification clearance. This phone call will give assurance of their payment. Thank you.

 

 

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